16D2143683 CLIA NUMBER - WALMART PHARMACY 10-2827

Laboratory Demographics

  • CLIA Code: 16D2143683
  • Facility Name: WALMART PHARMACY 10-2827
  • Facility Address: 2801 COMMERCE DR
    CORALVILLE, IA
    ZIP 52241
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA TELANDER
  • NPI Number: 1558388942
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2143683
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2827
Street 2801 COMMERCE DR
City CORALVILLE
State IA
ZIP 52241
Phone 479 277-2374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director TINA TELANDER

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This page was last updated on: 9/29/2025